| 933 Mamaroneck Sshore Group | |
|
933 Mamaroneck Ave Mamaroneck NY 10543-1662 | |
| (914) 698-2056 | |
| (914) 698-2417 |
| Full Name | 933 Mamaroneck Sshore Group |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 933 Mamaroneck Ave, Mamaroneck, New York |
| Authorized Official Name and Position | Christopher T. Kells (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 2125905741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 933 Mamaroneck Sshore Group 575 Lexington Ave Suite 540 New York NY 10022-6102 Ph: (212) 590-5152 | 933 Mamaroneck Sshore Group 933 Mamaroneck Ave Mamaroneck NY 10543-1662 Ph: (914) 698-2056 |
| NPI Number | 1053609545 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 07/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053609545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (NU) | Primary |
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